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Nizamani S.M.,University Technology of MARA | Agarwal A.,University Technology of MARA | Siew S.,Institute of National Forensic Medicine
Journal of Forensic Medicine and Toxicology | Year: 2010

Rectal foreign body is no longer a medical oddity. The majority of objects are inserted by self introduction in children, psychiatric patients, in victim of assault and as a result ofsexual gratification. It causes lower abdominal pain and rectal bleeding. The presence of a foreign body in the rectum has always been a challenge due to associated medico legal issues with it. Many times we encounter drug smugglers referred by custom department from air ports. Few cases are seen where the reason has been given it to be as a torture by other persons and victim approach for medico legal help. Though the inserted foreign body can be removed by surgeons but so far as legal matter are concerned this problem carries complex issues like, whether it is a self insertion or it has been inserted by other person with consent or without consent. In case it is without consent then it is considered as a case of assault/torture. In such case further issue arises as how to report the nature of injury and manner of injury as if foreign body removal needs laparotomy, then penal code will be different and if the removal is transanal without any complication and the stay in hospital less than 20 days then the penal code will be different which needs further discussion. We report a case study of a foreign body in the rectum inserted with a purpose to torture and its related medico legal issues related to the physicians dealing with medico legal cases and for public awareness. Source


Nizamani S.M.,University Technology of MARA | Mahmood M.S.,Institute of National Forensic Medicine | Siew S.,Institute of National Forensic Medicine | Agarwal A.,University Technology of MARA | And 6 more authors.
Journal of Forensic Medicine and Toxicology | Year: 2010

Sudden death is now currently described as natural unexpected death occurring within 1 h ofnew symptoms. Although cardiac causes are the leading cause of sudden death, the exact incidence ofthe other causes are not well established because in some countries, many sudden deaths are not autopsied. Many risk factors of sudden cardiac death are identified: age, gender and heredity factors. Sudden death in the young always requires systematic forensic autopsy performed by at least one forensic pathologist. The present study shows the detailed analysis of incidence, clinical data, triggering events and pathological characteristics of sudden deaths in young adults on autopsy at National Institute of Forensic Medicine Hospital Kuala Lumpur. Source

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